| Westside Family Dentistry | |
|
2915 Westside Drive Durant OK 74701-2028 | |
| (580) 924-1234 | |
| (580) 920-2082 |
| Full Name | Westside Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2915 Westside Drive, Durant, Oklahoma |
| Authorized Official Name and Position | Tiffany L Langley (OFFICE MANAGER) |
| Authorized Official Contact | 5809241234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Family Dentistry 2915 Westside Drive Durant OK 74701-2028 Ph: (580) 924-1234 | Westside Family Dentistry 2915 Westside Drive Durant OK 74701-2028 Ph: (580) 924-1234 |
| NPI Number | 1174741474 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174741474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3469 (Oklahoma) | Secondary |
| 122300000X | Dentist | 5597 (Oklahoma) | Primary |
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